Article

Emergency Department Minute Quiz: Weak and Tan

Check out this Emergency Department Minute Quiz. Can you determine the correct diagnosis?

Case: A Caucasian woman in her 30s presents to the emergency department for 10 days of gradually worsening generalized weakness, nausea without vomiting and occasional mid-abdominal pain. She also mentions that she has recently been on a keto-diet and also has had a surprising tan despite it being mid-winter. She denies any diarrhea, fever, missed periods or other complaints.

Vital Signs & Physical Exam:

Vital signs are normal except for a BP of 85/61, which she does not think is normal for her. The pulse is 90 and temperature is 97.7. Physical exam is otherwise normal except for the skin findings and gum findings shown below.

Initial Diagnostic Testing:

CBC: normal except for 8% eosinophils

Chem 7: normal except for a sodium of 131, potassium of 5.3 and glucose of 62

WHAT IS THE MOST LIKELY DIAGNOSIS?

  • Vitamin D toxicity
  • Cushing’s disease
  • Addison’s disease
  • Scurvy

Related Videos
Diabetes Dialogue: Diabetes Tech Updates from November 2024 | Image Credit: HCPLive
Diabetes Dialogue: Tirzepatide’s Long-Term Obesity Data | Image Credit: HCPLive
Diabetes Dialogue: Latest Updates on Semaglutide Shortage, Data | Image Credit: HCPLive
Richard Pratley, MD | Credit: Advent Health Diabetes Institute
Rahul Aggarwal, MD | Credit: LinkedIn
Brendon Neuen, MBBS, PhD | Credit: X.com
HCPLive Five at ADA 2024 | Image Credit: HCPLive
Ralph DeFronzo, MD | Credit: UT San Antonio
Timothy Garvey, MD | Credit: University of Alabama at Birmingham
Atul Malhotra, MD | Credit: Kyle Dykes; UC San Diego Health
© 2024 MJH Life Sciences

All rights reserved.